Individual provider Active NPI

Richard Lee Teitzman, D.O.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1164758082
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS11009 Issued in FL
Practice address
16201 Mahogany Dr
Boynton Beach, FL 33436-7611
Phone
(954) 682-8210
NPI assigned
Oct 28, 2009
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UO1852 FL
Internal Medicine Physician 207R00000X OS11009 FL Primary

Addresses

Primary practice location

16201 Mahogany Dr
Boynton Beach, FL 33436-7611

Mailing address

16201 Mahogany Dr
Boynton Beach, FL 33436-7611
Phone (954) 682-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000502 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 2961678230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Palliative Care Services, Inc.Group PAC ID 3476738527, 28 clinicians

Practice addresses (Care Compare)

5300 E Ave
West Palm Beach, FL 33407-2387
Phone (561) 227-5177

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 273-2208

901 45TH St
West Palm Beach, FL 33407-2413
Phone (561) 273-2208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11009FLMDInternal Medicine Physician
UO1852FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. CurrentSince Jul 1, 2023 Accepting new patients
Harbor Palliative Care Services, Inc. Internal Medicine CurrentSince Oct 7, 2012 Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1164758082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 MAHOGANY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367611",
            "telephone_number": "954-682-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 MAHOGANY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367611",
            "telephone_number": "954-682-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITZMAN",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO1852",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.